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California rates for HCPCS 15860

Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.00 / $4,941.00 / $16,850.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.00 / $4,544.00 / $9,274.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.90 / $100.00 / $5,122.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.82 / $120.82 / $120.82
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$11.78 / $11.78 / $11.78
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.50 / $119.03 / $155.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.80 / $121.13 / $201.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,300.00 / $1,300.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$23.89 / $51.03 / $51.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.25 / $142.68 / $222.83
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$11.78 / $11.78 / $34.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.00 / $1,551.00 / $6,323.00